助产士门诊分娩教育对孕妇分娩方式选择及分娩结局的影响  

EFFECT OF MIDWIVES’ OUTPATIENT DELIVERY EDUCATION ON PREGNANT WOMEN’S CHOICE OF DELIVERY MODE AND DELIVERY OUTCOME

作　　者：张萍[1] 史慧敏 王文娟 Zhang Ping;Shi Huimin;Wang Wenjuan(Xuzhou Cancer Hospital,Xuzhou 221000,China)

机构地区：[1]江苏省徐州市肿瘤医院,221000

出　　处：《中国煤炭工业医学杂志》2019年第1期105-108,共4页Chinese Journal of Coal Industry Medicine

基　　金：江苏省医学科技发展基金(编号:p200940)

摘　　要：目的探讨助产士门诊分娩教育对孕妇分娩方式选择及分娩结局的影响。方法选取2016年1月——2016年12月我院门诊接收的162例孕妇作为研究对象。按照随机数表法将所选对象分为对照组和观察组,每组81例。对照组孕妇在门诊接诊后进行常规孕期宣传教育,观察组在对照组的基础上由门诊助产士对孕妇进行门诊分娩教育。比较二组孕妇分娩方式的选择、对分娩结局的影响、产后出血、新生儿Apgar评分以及对分娩期间负性情绪的影响。结果 (1)二组患者分娩方式的选择存在明显差异(χ~2=17.098,P<0.001);(2)观察组第一产程、第二产程以及总产程时间均优于对照组(P<0.05),二组第三产程比较差异无统计学意义(P>0.05);(3)观察组孕妇产后2 h内出血量以及新生儿Apgar评分均优于对照组(P<0.05);(4)观察组分娩期间SAS、SDS评分明显低于对照组(P<0.05)。结论通过门诊助产士对孕妇进行分娩教育可有效提高孕妇对自然分娩的选择,有效改善分娩结局。Objective To investigate the effect of outpatient delivery education by midwifery nurses on delivery mode choice and delivery outcome of Pregnant woman.Methods One hundred and sixty-two pregnant women admitted to Xuzhou Cancer Hospital from May 2015 to June 2017 were selected as the research subjects and randomly divided into the control group and the observation group,with 81 cases in each group.The pregnant women in the control group received regular pregnancy publicity and education after receiving the clinic.The observation group was given the outpatient delivery education by the out-patient midwives on the basis of the control group.The choice of delivery mode,the effect on delivery outcome,postpartum hemorrhage,neonatal Agpar score and the influence on postpartum negative emotion were compared between the two groups.Results(1)There was a significant difference in the choice of delivery mode between the two groups(χ^2=17.098,P<0.001).(2)the first labor process,the second stage of labor and the total time of labor in the observation group were superior to the control group(P<0.05),and the third stage of the two groups was not statistically significant(P>0.05);(3)the amount of blood loss in the observation group after puerperal 2H and neonatal Apgar scores were better than those of the control group(P<0.05);(4)the scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The delivery education of pregnant women through out-patient midwives can effectively improve the choice of natural delivery and the outcome of delivery.

关 键 词：助产士 分娩教育 分娩结局 分娩方式 

分 类 号：R473.71[医药卫生—护理学]